FORM 1023-EZ for COLOMBIAN CULTURAL ASSOCIATION

Field Data
EIN 46-4889897
Case Number EO-2018085-000233
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLOMBIAN CULTURAL ASSOCIATION
Organization’s Mailing Address 12306 W 128TH ST
City OVERLAND PARK
State KS
ZIP 66213
Accounting period End 12
Primary contact name MANUEL A PIEDRAHITA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ORLANDO GUTIERREZ
PRESIDENT
400 SE ALEXANDRIA DR
LEE'S SUMMIT MO 64063

Officer/Director/Trustee Two

GUSTAVO RESTREPO
VICE PRESIDENT
15740 BARKLEY ST
OVERLAND PARK KS 66223

Officer/Director/Trustee Three

MANUEL A PIEDRAHITA
ACCOUNT OFFICER
13922 E NOLAND CT
INDEPENDENCE MO 64055

Officer/Director/Trustee Four

MARTHA GONZALEZ
SECRETARY
10500 E 79TH ST
RAYTOWN MO 64138

Officer/Director/Trustee Five

SANDRA OZUNA
TREASURER
6715 W 146 TH CT APT 42202
OVERLAND PARK KS 66223

Organization’s website CCAMOKAN.ORG
Organization’s email CONTACTO@CCAMOKAN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/14
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MANUEL A PIEDRAHITA
Signature Title ACCOUNT OFFICER
Signature Date 3/21/18
EIN 46-4889897
Case Number EO-2015043-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLOMBIAN CULTURAL ASSOCIATION
Organization’s Mailing Address 12585 S ALCAN CIR
City OLATHE
State KS
ZIP 66062
Accounting period End 12
Primary contact name ORLANDO GUTIERREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ORLANDO GUTIERREZ
MR
2809 NE MARYWOOD LN
LEES SUMMIT MO 64086-7081

Officer/Director/Trustee Two

GUSTAVO RESTREPO
MR
15740 BARKLEY
OVERLAND PARK KS 66223

Officer/Director/Trustee Three

ANGELA BELLO
MS
12858 S ALCAN CIR
OLATHE KS 66062

Officer/Director/Trustee Four

MANUEL A PIEDRAHITA
MR
8320 W 124TH ST
OVERLAND PARK KS 66213

Officer/Director/Trustee Five

SANDRA OZUNA
MS
8705 W 121ST TERRACE 308
OVERLAND PARK KS 66213

Organization’s website WWW.CCAMOKAN.ORG
Organization’s email CONTACTO@CCAMOKAN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2014
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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